tv Consider This Al Jazeera October 9, 2013 10:00pm-11:01pm EDT
of yellen. she is likely to continue the stimulus strategy. a non-profit foundation is doing what the government won't paying for the death be benefits for soldiers killed in action. today the house of representatives unanimously voted to reinstate the military benefits for families. the bill now moves to the senate. that is the news at this hour. i will see you back here at 11:00 eastern, 8 8:0:00 pacific time. "consider this" is next and you can get the latest o on al jazeera.com. >> millions of veterans and
their families caught in the middle of a shutdown. there is no agreement to take care of the soldiers that were killed recently fighting for america why are those that risk everything floo for their county being neglected by their government. >> president obama freezes said to the egyptian army. and did washington fundmently misjudge what happened in egypt. >> millions of parents are peope taking care of parents. i'm antonio moro. well come to "consider this." >> we begin with military survivors and dependants who could suffer serious problems from a government shutdown.
>> lord when our federal shutdown delays payments of dealt benefits to the families of children dying on far away battle fields. it's time for the lawmakers to say enough is enough. >> the senate chaplin's opening prayer was almost as political as the lawmakers. >> i'm ashamed, i'm embhairsed. all of us should be. on day nine many republicans and democrats seemed to agree on one issue. it's disgrace full that the death benefits were suspend because of the shutdown. meanwhile the white house
approved an agreement from the fisher house to step in. the pentagon will reimburse the fisher foundation after the shutdown ends. one november i will not be able to pay all of these be beneficiarying who are expecting those checks. >> veteran affairs secretary told congress that unless of veterans and their families could be affected. including 400,000 veterans and over 3 60 students. he was offended and outraged and embarrassed that the department of defense was unable to fulfi fulfill.
for more i'm joined from washington, d.c. bring congressman a california democrat who serves on the arm services committee. also with us from washington is john soltz who is chairman and coulco-founder of vote yeastvet. i want to start with the secretaries. you told congress, i just don't think you will allow this to happen. we saw the ve veterans who were shutdown october 1st. whwhy weren't they taken care of before the shutdown started. you could do it. we had too pass a please of pief
legislation. we couldn't get it done without an extraordinary ransom by the republicans. they wanted to com completely eviscerate the healthcare act which is to provide healthcare insurance for 40 million mernls americans. we wouldn't do that. we headed for this freigh greate crecrisis.in my own district thy we have what we call the veteran stand down, an opportunity for the community to come together to help the homeless veterans in our community, they needed a $10,000 check from the p department of la labor. working with the veterans we were able to a range a short term loan. this is one. hundreds of thousands of examples where this thing has gone off the rails. >> a short term rail and the house unanimously approved allowing the pentagon to pay get
death benefits to soldiers families average and special ese that were killed over the weekend. the fis fisher foundation will p in. the white house has been said to oppose the bill. john what does it say about our political dysfunction that a private foundation had to act to provide death benefits to the families of 26 soldiers that have been killed in the lined of duty since the shut down started? >> we have people all over the country, thousands in our organization that have expressed a lot of pain about how this shutdown affects them personally. about 9000 members have opted in and say they have been personally affected. i don't think anything hurt these people by seeing that the families of troops who died in afghanistan are not getting the
$1,200 compensation. it shows a real disfunction. there is a political football in regards of whether we can have a straight up vote. a vote that we believe right now if we voted in the house the budget would pass clean and go to the senate and pass and it would be signed into law. >> before the shutdown both houses of congress approved a bill that was signed by president obama. speaker boehner says that gave them the authority to pay the death benefits that we are talking about. but acortding t according to a r official. thwho is right, john? are the soldiers families -- >> the president is right. my organization doesn't always
support the president we support him on syria. if you look at our organization the veterans are affected by the entire budget. what the general is talking about today is different than what secretary hagel is talking about. we are going to have issues where something falls through the cracks. like the compensation no for trs who die-for-their families. when you look at the va and the backlog that is growing. when you look at the gi bill and when you look at a variety of issues, the only way to completely support our veterans is to fully fund the government because there is a part of the administration that affects our members. >> i want to get to this fact. congressman talking about politics. the house majority tried to pass a piecemeal continuing resolution that would have paid for the veteransed administrat. it needed two-thirds to pass.
you were among the m minor minot voted ghen against it. why. why not vote in fave yea favor . a day later i voted on a sploa procedural motion. we passed in the house of representatives eight appropriation bills since the shutdown. they deal with the very small parts of the news thousands of issues that are in the budget. at the rate we are going it will be 2020 by the time we afoact et the government. they are affected by a variety of programs it may be the veterans pro graple programs orl they are going perhaps the dialechildwas in a he a headsta. that is shil should o shutdown. you can't go at this piecemeal.
we have to fund all of the government. the votes are are on the house floor any time that speaker boehner would allow the bill. if he would allow the bill and let the people go and vote. this thing wo would be over one hour after the vote. this cannot be one off eight bills in eight days and funding those specific programs. and among those programs you are correct was not the death benefit program that did fund to pay for the military. just a total part of the military budget. you can't do it that way. we have to do it all. >> let's listen to what you bhoabothmentioned. let's see what he said calling four a resolutio for a resolutid call on the entire government. very little of what we work on in va originates in va. much of that organiz originatesn
another department. healthcare, education, employment, insurance, housing for both the home owner and the homeless does not occur without significant coordination. dnd and housing and urban development and hhs and social security and treasury and education and labor and the irs and small business administration. >> so again, john, veterans will continue to suffer unless the whole government reopenings. reopenings.-- reopens. >> owneonly the federal governmt can help us. >> unless the entire federal government is open people will continue to get hurt. if you are a retiree you will get a pension. if you are going to college on the gi bill in two weeks it's
over e if yo. if you lost both of your legs in vietnam the veterans administration will no loaning e able to pay you. iall of this is because they opposed a bill that obamacare would have provided sheunsz ouso the unsheurt uninsured vit veten rance. rance -- veterans. it shows the lack of knowledge that we have with elected officals having been a part of the military. they brought up something that john brought up a few minuting a. he said the shutdown would affect the va's ability to correct the backlog for services how significant is that for veterans? >> it's a huge problem. we really owe these veterans quick, speedy service on their claims. right now the ba backlog is
horrendous. there has been a major effort to reduce that. they have made progress. but right now all of that progress has been lost each day the shutdown goes on. the claims are stacking up again. and it will bring more effort to bring them back into line. i have two air force bases and a lot of retirees and veterans and they are hurting across the back over tboard. and joa john said it as well ths a couldn'a complex set of suppo. we owe it to them. we owe it to to the american pee and we owe it to the world that we get the government back into operation. this is the strongest country in the world and the government is shutdown. how crazy is that. that is where we are. speaker boehner can solve this problem in half a minute. all he has to do is call a session and let his people go and vote. the democrats have 198 votes
ready to go. the moment he calls us back we need 20 or less than 20. the rum ratches republicans aren operation. we do have to deal with the larger problems with the overall budget and the fiscal issue issd the deficit. >> all of those things need to be dealt with. the president is clear. he is not going to hold the american people. alt partall parts of this countr ransom for the demands that the republicans put forward to terminate an affordable healthcare act which provides the potential of healthcare insurance for veterans and another 39 million americans beyond that. >> the republicans are arguing that the president is not negotiating and they sat down and talked about things that they might i find a solution.
absolutely not. i mean it's, john mccain says it best. the republicans cannot defend obamacare. the republican republicans at te the democrats. and speaker of the house will vote on the been and we will be back in business and how will they need tomorrow. they don't want to fund certain parts of it. and that is just not how the country works. and u upheld by the supreme cout
will i in eye in egypt or the r. president obama talked about the tough spot he is in last month. >> simultaneously accused of supporting the brothe brotherhod the removal of power. the united states has purposely avoided choosing sides. joining me to talk about what the cuts mean. thank you both for coming in tonight. he cut off a portion of military aid ouster and fundmental misunderstanding of what happened in egypt over the
summer, why? many people look at morsi's removal as a example of a democratically elected president ousted in a military coup. by generals. although he was elected morsi had lost control of the country. that is to say that major beurre bureaucracies and the military were never under his control. when you have a country of 85 million people many of whom are poor you don't have many happy endings. you could have an assassination or uprising or a coup. >> it doesn't make sense for the united states to punish them for something they didn't want to do and something that was brought about first and foremost by the fact that the president had left
control of the country and could not reassert control. >> let's look at the facts of what this involves. this temporary freeze with egypt it's frozen until such time they move forward with reformed -- reform and democracy. the cuts are su substantial. tanks and helicopters and miss missiles. israel is not happy about the news. israel thinks that it jeopardizes the 1975 camp david treaty. and cole what do you think about israel's reaction and the way it's being received in the region in general. this question has come up a number of times. if the u.s. is obligated under the camp david accord to give aid to egypt. the camp david package -- the
u.s. state department said a couple of months ago that we give aid to egypt because we see it in the national interest to do so. the question today comes are the generals and the ruling government in egyp in egypt preg those interest. and are they pursuing the values of today. >> i misspoke and said 1 19 1979 instead of 1975. >> caller wanted to know why did it take this long to stop funding the ey egyptian militar. >> since july 3rd there has been a big debate in the u.s. administration called the coup clause. to cut off aid by a government that has been over thrown by military force. most standards in the democratic
y that is what happened. i think there was a hi his hesio some how to get the transition back on track where it had been steered off by morsi. what we have seen in the months since then is mass killings by the military and by security forces on several occasions in egypt bringing back military trials and in general a concerted crack down on the brotherhood. i think the administration has lost faith in that approach and has di decided it hasn't been affected to see the goals thank you. >> given what you said earlier do you think it was a coup or not. >> it was a coup when a general gets on television and says you will not see your president anymore, that is a coup. let's be clear on what exactly
percipitated a coup. >> what percipitated is more sei had lost control. >> he doesn't know how to dove n and had a bad experience the year and a half they were removed and didn't want to return to power. they did so because morsi lost control we are punishing the military for something that we are not going to change and something that we are not going to undo. we are losing the leverage that we want and need to shape events moving forward in the more progressive way. like a screwdriver should not be used to hammer a nail. military aid is not the right tool to fund democracy in egypt. let's talk about that now. >> the question is this a big deal or is it a signal of
displeasure? this is what the state department said today. >> we have to calibrate that policy with what we have seen on the ground over the last few months. we have made it clear that some of the actions that different sides quite frankly have taken over the past few months are not acceptable. so cole, what do you think about what eric was just saying? we just heard the state department spoke spokeswoman sa. can this be used as leverage to get the military to move forward with the democratic process. they are talking about having constitutional amendments up in a few weeks. parliamentary and presidential elections in mid 20 i 2014. is that enough for the u.s. to restore aid. >> i think in response to eric's statement military aid is a tool to help military m behavior when
they are in power. that is one of the things we look look at if they were to rua political process and run democratic elections yes, then under the lawful assistance can be restored when a civilian government retakes power. what we have seen in the last two months, the decision today is not a punish. for the military for the events of july 3rd. it's a reaction for the way they arhave ruled in the past two months. committed abuses and rye reacten undemocratic ways. >> the sawdie saw sawe saudis h-
since the 1980s we have been sending egypt a thousand tanks valued at $4 billion and egypt had several thousand air tanks. and there is one conceivable scenario where they need the tanks short of an alien invasion. will this make a difference in any case. will these cuts real littl realt them. >> in terms of military capability it won't. in terms of the signals it says, 23in terms of what the united states regard it's relationship with the military is a worrying signal. the important point here is by having removed a failed president from power the military and the brotherhood are in a conflict with each other. the reason that the military will not shape the military's behavior right now. the generals believe if they
don't decapitate the brotherhood they could emerge and kill the generals. ments i am not endorsing that vw here. that conticket i conflict is hao influence and it would be harder to keep the powder dry and hold off for a moment and push egypt in a more democratic direction. >> what about the leadership? defense secretary hagel has been in contact with elcici. and he is popular. he may be changing his tune in whether he is interested in that. what does our future with egypt look like? we don't have an am bass for amr there. and we are talking away something that the next ask president o -- next president of egypt wants. i do agree with eric the impact
in the next term will be limited. >> this is a long overdue step for the united states to under take a strategic overhaul of it's relationship with egypt. it hasn't fundmently changed since 2011 and especially with it's ait aide being aid packag. >> they need to use this to recalibrate and refine on what that relationship will look like regardless of who is in power and what the principles stand up for. and on that basis we need to rework our relationship. >> ther >> there is a lot at stake in egypt and the relationship with that country. we'll continue to follow it. we appreciate you guys being with us tonight. thank you for your time. straight ahead technology has extended life for countless americans that are dying. but should it. the question facing millions of
but just because we can live lightninger anlonger and in somd we. in the controversial book, "knocking on heavens door." americans live a lower quality of life amid higher cost. katie butler is the book's author. she joins us from san francisco and thank you for being with us tonight. i know this book is deeply personal for you. it focuses on your dad's long end of life. he was suffering for years after having strokes and partial blindness and dementia. and then he suffered hernias. they put a pace maker in his heart so he could survive the surgery and that prolonged the life of him being barely a live. and that led to a devastating situation for your family. tell us how that all was. >> my father was given a pace maker that really extended his
life into the time when it was a burden and a curse to be alive rather than a blessing. this also destroyed my mother's life. because she was a full time caregiver, sometimes having to care for him literally minute-by-minute. it was agony and i knew, and my mother came to feel that the pace maker had been a terrible, terrible mistake. this device had a ten year battery. it was put into an 80 year old guy who could no longer complete a sen sentence. >> his life was pr prolonged ant different times before he stopped being able to complete sentences. he said heart breaking things himself. "i don't know who i am anymore" he said "i am living too long" you and your mother wanted the pace maker turned off. but when you suggested that to the doctor the doctor recoil the thedat the suggestion.
how did you relate to that. >> this was agonizing for my mother and i to the point where we wanted to get the device turned off. these are horrible decisions people across the country are having to make them every single day. either make them or avoid make them. when we went to the cardiologist he looked at me and my mother like we were monsters. he said to me it would be like putting a pillow over your father's head that is what it looked like to him. that is not what it looked like to my mother and i who cared for my father extremely deeply and loved him more than any other man in the world. >> he could have continued to live go the pace maker were durmturned off. medical recommendations have changed about turning pace
makers off since your dad died. >> that is right. in 20,15 2010 the cardiology association finally got together and created a document that clearly said this is not utah euthanasia this is not assisted suicide. it's allowing the underlying disease to take it's course and allowing someone a natural death. the law has been for a decade you have the right to request the withdrawal of any medical treatment. and your wishes should have been the paramount ones not the doctor. when your father had pneumonia and did turn out to be the end of his life. ment t dodgthe doctors did prole and he didn't exist in any real way and he was suffering. and i know that was also hard for you.
>> he still did exist and he was still my dad to me. even though he was still debilitated and in so much suffering. when he was on the hospice unit and dying of pneumonia which we were not treating quite intentionally, we asked to have the pace maker turned off again and the cardiology service again said, no. this was a bur bureaucratic slip at this point. but of course for thousands of americans and millions of americans it's much more intense than that. a full 20% of us die in intensive care. and that is a harrowing death for everyone. there are intense conflicts and intensive care about families and doctors about when to withdraw life support. >> where do you draw the line? where do you draw the line of saving a loved one and when a family should let them go? >> i think it's different for every family.
at this point the families are intimidated by medicine and defer to doctors who are not capable of making them they are morale and emotional decisions based on our very, very deep values and religious values. you can't defer these decisions. you have to talk about them as a family long before the crisis hits. that is a question that people ask. if i can keep my parent alive. even if they are deep into alzheimer's or dementia. and there are always moments that they say they are there. what do you say to them? >> i think dying has been incred incredibly difficult. and the question are you prolonging the dying of this person you love for your own emotional needs? or are you actually doing the loving thing for that person? i got an e-mail from a woman whose 92-year-old mother is mind and bed rid enin den and in a ng
home and couldn't eat. they were trying to persuade her to take a feeding tube. and noshe read my book and i understand and i know how painful this is for me. i know now i have to let my mother die. this question came in for you. viewer a jane says don't we need advances in health law regarding conscentconsents and power of a? >> itci don't think it's a legal problem. >> doctors do not do the kind of informed consent that is needed in the situation of a pace maker. my dad and my mother were never told that this was a device that would last ten years and nor were they told that it could be
painlessly deactivated and they could do that when the circumstances change. the documents are fine. and the thing is when family members are in conflict and one family member member wants to ed dying and the other wants to extend life. these are huge problems. >> the medical care made up 5-pnt 5.3%of the gdp and that w2 and it's shot up in 2011. what kind of fac factor does the dollar play? >> a quarter of the medicare spending is for the last year of life. a third of the people have surgery in their last year of life. a third spend time in intensive care in the last year of life. all of these create enormous
amount of dollars devices like pace makers and equipment in i corpus christicuand medical dev% profit year in and year out. from the point of view of the businesses quite understandably they are not in the business of defining healthcare policy they are in the business of expanding markets. you have doctors doing studies that approve and justify that more of these devices should be used. you have sales people fanning across the country and chatting up the doctors and providing them with lunches. really extensive inducements and encouragements to see putting in citdecemberindevices and prolon. >> healthcare is one of the three biggest lobbiest in washington. and there is no lobby that is as
long as the interest of the device makers. >> some of the hardest things they write about is you got to the point that you hoped that your dad would die. and how excruciating that was. and millions of americans are in similar situations cairg caringr ailing patients i know it affected your mother's decision on how to treat herself late in life. whatted advice would you give o the care giv givers to make life easier for them. >> first of all it's to have important conversations with your family early. it's not a question of do i want a pace maker or do i want to be in intensive care ever? what is it that makes my life worth living. at what point would my life be a burden rather than a blessing? i also think the emotional task of realizing that the end of life is coming those saying to the people you love, i love you, please forgive me and i forgive
you and goodbye. and if we do that emotional work prior to the panic trip to the intensive care unit or the er. and if that works ahead of time and you have these conversations you really have a chance. the other thing is i asked to be connected with a palliative care program. this is a wonderful new approach to medicine and advanced illness where you get a lot of old fashioned doctoring and a lot more contact and a lot more help making a very difficult medical and personal decisions. don't be terrified of hospice and palliative care. check thi them out. do some research. have an informative meeting with them. otherwise you will be in this situation where you have blue skies until shortly before and you are not prepared. most important of all saying too your best friend take me out in
we could seat them and have room left over. the u.s. gets knocked for it's one percent that own 35% of america's wealth but russia's wealth is in a whole different ball park. the worst in the world. comparing russia to the u.s. there are 3.2 million people in america's top one percent. 3.2 hold the top of america's wealth that 32 of russia. they represent .00007% of the russian population. there are only half as many russians as americans but the difference is enormous. bill gates is the world's richest person. he owns one tent o tenltd tenthe percent. some russians have left russia.
sand micforbes reports that thes 442 billionaires to russia's 110. when putin became president in 2000 they had just eight. the reports she tha show that rs billionaires are growing. the majority of russians have a net worth below $10,000. the s sochi olympics are the mot expensive ever 30 billion has gone missing thank yo through ct building contracts. someone is playing games. coming up one in ten kids diagnosed with adhd. autism rates climb and the number of kids diagnosed as by
kids in the u.s. are being diagnosed with psychiatric and behavioral disorders in frightening numbers. autism is up by 76%. are medical advances ar the reason for the rise or is it greater awareness or normal childhood behaviours being misdiagnosed. clinical psychologist and athorr of "back to normal." the first line in your book refers to the normalcy of children's seemingly abnormal behavior. you believe we were overreacting to the bu buy live behaviours ar
diagnosing these disorders. >> that is correct. i believe in this day and age there is a blurring of the boundary of what is considered normal and what is considered abnormal especially when it comes to boys behav behavior. >> you see dangers in misdiagnosing children. there are a variety of them often times parents are unaware of. for instanl instance we like tof ourselves as a diverse accepting society. but unfortunately a study i look at in my book there are strong stigmas attached to mental illness and diagnosis. a third of america believe adhd child is a would be danger just child. >> there is the stigma and there is the medication that these
kids are given. you mentioned boys. acording to a 2012 study boys are diagnosed at a higher rate. why do you think that is happening? >> as a society we are uncomfortable speaking in determinetermsof again gender. the masculine behaviours if you don't see them truly as masculine behaviours they can mimic disorders. for instance if you look at bodies and communication styles, i think the average boy tends to be logical and analytical and grandstand and speak at great lengths of some technical interest of theirs.
they are not scanning faces for evidence that they should stop talking and start listening you can see how that behavior can confuse and confound with mild cases of autism spectrum disorder. >> some say you talk anecdotally about these things but there is no hard evidence to support that. well i would counter that by saying read my book carefully. but often times, and i wrote the book primarily for parents. and i really wanted to draw deeply from my 25 years of ex-perks in thexperience in them what i see in the office. >> you do give a big part to parents. >> there is a study at unc in 2007 that 30% of children diagnosed of having autism when thinthey were 2 years old didn't
the diagnosis at age four. what is that? is that an issue of misdiagnosis? >> my perspective. perspective. you autism truly speaking is a e long debilitating in you neuroph neuropsychiatric condition that is not assigned cash islely. --. from the spectrum one has to wonder did the diagnosis apply in the first place? >> is part of the problem spectrum itself? my per personal experience i haa
niece who as turrets syndrome and i have a nephew on the other side of the family who is extremely high functioning. they are on the same spectrum and they are worlds apart. >> it's on the mild end i would say we start to confuse disorder with normal human variance. >> and what about adhd a that pt of them out grow it by the time they get to their 20s. >> it's 75% a brain scan study of all things that basically concluded that 75% of adhd children by the time they hit the mid 20s the argument is
made that the adhd is the mature brain. and it's three years behind a normal brain. this information doesmen doesn't it there. the large percent animal of pern that fit these diagnos diagnosio longer do. yoautism spectrum disorder and adhd are long term disabling condition. and you don't go off and on of. wonder if the dyin diagnosis had in the first place. has the criteria for diagnosing autism changed? >> technically speaking, no. but what i think happens and the
wider culture, we have thrown in things like tantrumming, picky eating and quirky behavior. and we soften the cree tea crita public discord americ measure an it becomes confusing and the mild cases i'm not emf emphasizg it enough. i'm not questioning the veracity of the diagnos diagnosis itself. you see the potential for the mild cases and the overlap between the normal developmental delays. >> i want to give you one final question. according to some numbers we have got. briprescriptions for psychiatric drugs rose between 2002 and 2007.
the pervasive act to medicalize children's behaviours. you are saying that there are medical incentives to prescribe these drugs. >> absolutely. the psychiatric makers are upwards of $40 billion a year. and of course they want to protect their profitings and expand their markets. they have an interest in pa pa thopapatholpapathalogizing thanr having me on the show. the conversation continues on our website. we'll see you next time.
>> good evening everyone welcome to al jazeera america i'm john siengenthailer in new york. >> how to stop the shutdown how we talk about re-opening the government. >> i cannot understand how this will be a benefit withheld. >> ben fidgets denied. the mother of a fallen serviceman outraged by the shotted down and the foundation stepping in to help. and holding back military aid. the wemtion and money that egypt won't get from the u.s. after the military coup.